Abstract
Although safe and rapid, air travel may present problems for people with certain medical conditions. Most medical emergencies that occur during a flight are preventable by judicious screening and preparation. We provide guidelines for physicians who are consulted about the wisdom of undertaking a journey by air. Potential stresses before, during and after the flight are outlined, including decreased atmospheric pressure, low humidity, turbulence, inactivity and time changes. We recommend precautionary measures for passengers with certain medical conditions, such as recent myocardial infarction, pulmonary disorders, pneumothorax, cerebrovascular accidents and diabetes and for those who have recently had surgery. The policy regarding air travel for pregnant women varies with each airline, but for certain conditions associated with pregnancy supplemental oxygen should be ordered before the trip. The special equipment and care that most airlines offer to ill or disabled people are described.
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Selected References
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- Dramise J. G., Inouye C. M., Christensen B. M., Fults R. D., Canham J. E., Consolazio C. F. Effects of a glucose meal on human pulmonary function at 1600-m and 4300-m altitudes. Aviat Space Environ Med. 1975 Apr;46(4 SEC):365–368. [PubMed] [Google Scholar]
- Falkoff R. Maternal immunologic changes during pregnancy: a critical appraisal. Clin Rev Allergy. 1987 Nov;5(4):287–300. [PubMed] [Google Scholar]
- Mattson M. E., Boyd G., Byar D., Brown C., Callahan J. F., Corle D., Cullen J. W., Greenblatt J., Haley N. J., Hammond K. Passive smoking on commercial airline flights. JAMA. 1989 Feb 10;261(6):867–872. [PubMed] [Google Scholar]
- Moore-Ede M. C., Czeisler C. A., Richardson G. S. Circadian timekeeping in health and disease. Part 1. Basic properties of circadian pacemakers. N Engl J Med. 1983 Aug 25;309(8):469–476. doi: 10.1056/NEJM198308253090806. [DOI] [PubMed] [Google Scholar]
- Moore L. G. Altitude-aggravated illness: examples from pregnancy and prenatal life. Ann Emerg Med. 1987 Sep;16(9):965–973. doi: 10.1016/s0196-0644(87)80742-4. [DOI] [PubMed] [Google Scholar]
- Moser M. Fitness of civil aviation passengers to fly after ear surgery. Aviat Space Environ Med. 1990 Aug;61(8):735–737. [PubMed] [Google Scholar]
- Scholten P. Pregnant stewardess--should she fly? Aviat Space Environ Med. 1976 Jan;47(1):77–81. [PubMed] [Google Scholar]